Mortality in patients with normal left ventricular function requiring emergency VA-ECMO for postcardiotomy cardiogenic shock due to coronary malperfusion.
Jagdip KangMateo Marin-CuartasAnna Flo FornerPriya R MenonAndré GintherDiyar SaeedSuzanne de WahaMassimiliano MeineriJörg EnderMichael A BorgerPublished in: PloS one (2024)
Mortality rates are high in patients with normal preoperative LVEF who develop PCCS due to coronary malperfusion. The early implantation of VA-ECMO before the development of profound tissue hypoxia and early coronary revascularization increases the likelihood of survival. Lactate levels are useful to define optimal timing for the VA-ECMO initiation.
Keyphrases
- extracorporeal membrane oxygenation
- coronary artery disease
- acute respiratory distress syndrome
- coronary artery
- cardiovascular events
- left ventricular
- aortic stenosis
- respiratory failure
- coronary artery bypass grafting
- percutaneous coronary intervention
- public health
- emergency department
- risk factors
- heart failure
- aortic dissection
- healthcare
- mechanical ventilation
- patients undergoing
- acute myocardial infarction
- cardiovascular disease
- type diabetes
- ejection fraction
- hypertrophic cardiomyopathy
- intellectual disability
- aortic valve
- left atrial